HomeMy WebLinkAbout1319 S K St - Engineering
I.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
ll-I-O')
Date
Time
l,l ; t/V VJ"'- Received by
I
(phone, person)
}.S/1 k 5"7.
Name of person requesting inspection. 1/../"" f e r J::?, i/
Address of person requesting inspection I 7 () 5 5 iJ /3 Phone No. c( /7i(/~'I7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ L.-&'p,-, f e ..r-
Location of Work to be inspected
INSPECTION NOTES:
Inspected: Date LI_ 1-0)- Time
Remarks:
<)e, v/c..e /e.'7€h/ Jj.:JvIA.
.:} " 3 U ~;.... By 7/7
I
~.'" h.) #te/e/'
,
r
RESTORATION REQUiRED...... YES '\,/ NO
}::: S I / I
Lf1
^ I
t<nl 'J '\ {Nt...
1 L/ T L
'if" ItL
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel
o Repaired by City
D Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC>> Other [f .5 c)/'/
Work Order # 303'71, <Oi}7
o COMPLETE
JrINCOMPLETE
''''__'''-,_.._ __ __..____ _,....1_:.1:: __ _ _ _ __